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Questions 148

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Question 1 of 5

A client diagnosed with lung cancer asks the nurse what the term MO refers to. The nurse says that MO means

Correct Answer: A

Rationale: In cancer staging, M0 indicates no distant metastasis, per TNM classification.

Question 2 of 5

The nurse is caring for a client who has a lithium level of 2.2 mEq/L. Based on this lab value, what would the nurse anticipate to do in order to care for this client? Select all that apply.

Correct Answer: A, B, E

Rationale: A lithium level of 2.2 mEq/L indicates toxicity (therapeutic range: 0.6–1.2 mEq/L). The nurse should prepare IV fluids, notify the provider, and monitor for symptoms like confusion and slurred speech. A soft diet is unnecessary, and the next dose should be held.

Question 3 of 5

An end-of-life client receiving home hospice care states he no longer wants to eat. The nurse should

Correct Answer: C

Rationale: In hospice care, respecting the client’s autonomy is key. Accepting the decision to stop eating and focusing on comfort aligns with end-of-life care principles.

Question 4 of 5

The nurse is assessing a client with a closed reduction of a fractured femur. Which finding should the nurse report to the physician?

Correct Answer: A

Rationale: Chest pain and shortness of breath may indicate a pulmonary embolism, a serious complication requiring immediate reporting.

Question 5 of 5

A.ls with leukemia is receiving Trimetrexate. After reviewing the client's chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

Correct Answer: D

Rationale: Leucovorin calcium is given as a rescue therapy to reverse the toxic effects of trimetrexate, protecting healthy cells from damage.

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